Trichobezoar Causing Airway Compromise during Esophagogastroduodenoscopy
Objectives. (1) Report the case of a 5-year-old female with trichotillomania and trichophagia that suffered airway compromise during esophagogastroduodenoscopy for removal of a trichobezoar. (2) Provide management recommendations for an unusual foreign body causing extubation and partial airway obst...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2015-01-01
|
| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2015/806857 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832558792001191936 |
|---|---|
| author | Erica Y. Kao Nicholas J. Scalzitti Gregory R. Dion Sarah N. Bowe |
| author_facet | Erica Y. Kao Nicholas J. Scalzitti Gregory R. Dion Sarah N. Bowe |
| author_sort | Erica Y. Kao |
| collection | DOAJ |
| description | Objectives. (1) Report the case of a 5-year-old female with trichotillomania and trichophagia that suffered airway compromise during esophagogastroduodenoscopy for removal of a trichobezoar. (2) Provide management recommendations for an unusual foreign body causing extubation and partial airway obstruction. Methods. Case report of a rare situation of airway compromise caused by a trichobezoar. Results. A 5-year-old patient underwent endoscopic retrieval of a gastric trichobezoar (hairball) by the gastroenterology service under general endotracheal anesthesia in a sedation unit. During removal, the hairball, due to its large size, dislodged the endotracheal tube, effectively extubating the patient. The bezoar became lodged at the cricopharyngeus muscle. Attempts to remove the bezoar or reintubation were unsuccessful. The child was able to be mask ventilated while the otolaryngology service was called. Direct laryngoscopy revealed a hairball partially obstructing the view of the glottis from its position in the postcricoid area. The hairball, still entrapped in the snare from the esophagoscope, was grasped with Magill forceps and slowly extracted. The patient was then reintubated and the airway and esophagus were reevaluated. Conclusions. Trichobezoar is an uncommon cause of airway foreign body. Careful attention to airway management during these and similar foreign body extractions can prevent inadvertent extubations. |
| format | Article |
| id | doaj-art-46e25502061a4038a4f06cbd0e11860b |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-46e25502061a4038a4f06cbd0e11860b2025-02-03T01:31:36ZengWileyCase Reports in Medicine1687-96271687-96352015-01-01201510.1155/2015/806857806857Trichobezoar Causing Airway Compromise during EsophagogastroduodenoscopyErica Y. Kao0Nicholas J. Scalzitti1Gregory R. Dion2Sarah N. Bowe3San Antonio Military Medical Center Uniformed Services Health Education Consortium, 3551 Roger Brooke Drive, JBSA-Fort Sam Houston, TX 78234, USASan Antonio Military Medical Center Uniformed Services Health Education Consortium, 3551 Roger Brooke Drive, JBSA-Fort Sam Houston, TX 78234, USASan Antonio Military Medical Center Uniformed Services Health Education Consortium, 3551 Roger Brooke Drive, JBSA-Fort Sam Houston, TX 78234, USASan Antonio Military Medical Center Uniformed Services Health Education Consortium, 3551 Roger Brooke Drive, JBSA-Fort Sam Houston, TX 78234, USAObjectives. (1) Report the case of a 5-year-old female with trichotillomania and trichophagia that suffered airway compromise during esophagogastroduodenoscopy for removal of a trichobezoar. (2) Provide management recommendations for an unusual foreign body causing extubation and partial airway obstruction. Methods. Case report of a rare situation of airway compromise caused by a trichobezoar. Results. A 5-year-old patient underwent endoscopic retrieval of a gastric trichobezoar (hairball) by the gastroenterology service under general endotracheal anesthesia in a sedation unit. During removal, the hairball, due to its large size, dislodged the endotracheal tube, effectively extubating the patient. The bezoar became lodged at the cricopharyngeus muscle. Attempts to remove the bezoar or reintubation were unsuccessful. The child was able to be mask ventilated while the otolaryngology service was called. Direct laryngoscopy revealed a hairball partially obstructing the view of the glottis from its position in the postcricoid area. The hairball, still entrapped in the snare from the esophagoscope, was grasped with Magill forceps and slowly extracted. The patient was then reintubated and the airway and esophagus were reevaluated. Conclusions. Trichobezoar is an uncommon cause of airway foreign body. Careful attention to airway management during these and similar foreign body extractions can prevent inadvertent extubations.http://dx.doi.org/10.1155/2015/806857 |
| spellingShingle | Erica Y. Kao Nicholas J. Scalzitti Gregory R. Dion Sarah N. Bowe Trichobezoar Causing Airway Compromise during Esophagogastroduodenoscopy Case Reports in Medicine |
| title | Trichobezoar Causing Airway Compromise during Esophagogastroduodenoscopy |
| title_full | Trichobezoar Causing Airway Compromise during Esophagogastroduodenoscopy |
| title_fullStr | Trichobezoar Causing Airway Compromise during Esophagogastroduodenoscopy |
| title_full_unstemmed | Trichobezoar Causing Airway Compromise during Esophagogastroduodenoscopy |
| title_short | Trichobezoar Causing Airway Compromise during Esophagogastroduodenoscopy |
| title_sort | trichobezoar causing airway compromise during esophagogastroduodenoscopy |
| url | http://dx.doi.org/10.1155/2015/806857 |
| work_keys_str_mv | AT ericaykao trichobezoarcausingairwaycompromiseduringesophagogastroduodenoscopy AT nicholasjscalzitti trichobezoarcausingairwaycompromiseduringesophagogastroduodenoscopy AT gregoryrdion trichobezoarcausingairwaycompromiseduringesophagogastroduodenoscopy AT sarahnbowe trichobezoarcausingairwaycompromiseduringesophagogastroduodenoscopy |